[Federal Register Volume 62, Number 25 (Thursday, February 6, 1997)]
[Notices]
[Pages 5632-5633]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2899]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Doc. Identifier: HCFA-R-203]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Health Care Financing 
Administration (HCFA), Department of Health and

[[Page 5633]]

Human Services, is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding the burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.
    1. HCFA-R-203  Type of Information Collection Request: New 
Collection; Title of Information Collection: Data Collection Forms for 
a Project to Develop a Case-Mix Adjustment System for a National Home 
Health Prospective Payment Program; Form No.: HCFA 203; Use:. The data 
collection from this form will support analysis of home health 
utilization patterns and develop predictive models of home health 
resource use. That will serve as the basis for a system to adjust 
payments for Medicare home health services for differences/changes in 
patient service needs; Frequency: On Occasion; Affected Public: Not-
for-profit, Business or other for-profit; Number of Respondents: 
893,629; Total Annual Responses: 893,629; Total Annual Hours: 52,156.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, E-mail your request, including 
your address and phone number, to P[email protected], or call the 
Reports Clearance Office on (410) 786-1326. Written comments and 
recommendations for the proposed information collections must be mailed 
within 60 days of this notice directly to the HCFA Paperwork Clearance 
Officer designated at the following address: HCFA, Office of Financial 
and Human Resources Management Analysis and Planning Staff, Attention: 
John Rudolph Room C2-25-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: January 30, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources.
[FR Doc. 97-2899 Filed 2-5-97; 8:45 am]
BILLING CODE 4120-3-P